Grotenhuis, Judith Kay

Grotenhuis, Judith Kay is an individual health care provider with primary practice located at 164 Waccamaw Medical Park Dr , Conway SC 29526. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Grotenhuis, Judith Kay can be contacted via phone (843) 347-5060.

Contact Information

Primary practice address
164 Waccamaw Medical Park Dr Conway SC 29526
Phone: (843) 347-5060
Fax: (843) 347-4102
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Professional 101YP2500X 4662 South Carolina

Profile Details

NPI number 1962435776
LBN Legal business name Grotenhuis, Judith Kay
Credentials ED.S., NCAC, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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